Preliminary Application

PRELIMINARY APPLICATION FOR AIDE

FULL NAME

PHYSICAL ADDRESS

MAILING ADDRESS

MOBILE PHONE NUMBER

HOME PHONE NUMBER

OFFICE PHONE NUMBER

EMAIL ADDRESS

What do you need help with? Select one

DESCRIBE YOUR HELP IN DETAIL AND EXPLAIN HOW YOU NEEDING HELP HAPPENED. PLEASE DO NOT LIE. TELL THE TRUTH

Acknowledgment:

(“Yes” must be selected below or your preliminary application cannot be considered or submitted).

You understand that your Preliminary application, upon being reviewed, may be denied due to, it does not meet our approval criteria.

Yes

You understand that if you are selected to take the next step, you will have to complete an application and provide proof of your hardship. You also understand you will have to provide proof of income or homelessness happening to you.

Yes

You understand that your criminal record will be checked? (Glovic Foundation forgives all criminal records upon your initial relief being approved. If after you get relief from Glovic foundation and a new criminal activity appears via your criminal record, that’s an automatic denial)

Yes

MESSAGE : We hope we can help you. You will hear from us within 7 business working days.